0.1.1 - ci-build
EgdeFlaattsjekk_IG - Local Development build (v0.1.1). See the Directory of published versions
Official URL: http://www.egde.no/StructureDefinition/em-diagnostic-report | Version: 0.1.1 | |||
Draft as of 2023-03-10 | Computable Name: EMDiagnosticReport |
Profil for EM image diagnostic evaluation
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from EhgDiagnosticReport
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
DiagnosticReport | 0..* | EhgDiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
status | 1..1 | code | registered | partial | preliminary | final + Binding: Diagnostic status for workflow (required) | |
code | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: Diagnostic code for workflow (required) | |
subject | 0..1 | Reference(Patient - Egde Health Gateway - profile for Norwegian patients) | The subject of the report - usually, but not always, the patient | |
resultsInterpreter | 0..* | Reference(Practitioner - Egde Health Gateway - profile for Norwegian practitioners) | Primary result interpreter | |
conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: Diagnostic conclusion (required) | |
Documentation for this format |
Path | Conformance | ValueSet |
DiagnosticReport.status | required | DiagnosticStatusVS |
DiagnosticReport.code | required | DiagnosticCodeVS |
DiagnosticReport.conclusionCode | required | DiagnosticConclusionVS |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
DiagnosticReport | 0..* | EhgDiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 1..1 | Identifier | Business identifier for report |
status | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: Diagnostic status for workflow (required) Required Pattern: final |
code | Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: Diagnostic code for workflow (required) |
subject | SΣ | 0..1 | Reference(Patient - Egde Health Gateway - profile for Norwegian patients) | The subject of the report - usually, but not always, the patient |
performer | SΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service |
resultsInterpreter | SΣ | 0..* | Reference(Practitioner - Egde Health Gateway - profile for Norwegian practitioners) | Primary result interpreter |
specimen | S | 0..* | Reference(Specimen) | Specimens this report is based on |
result | S | 0..* | Reference(Observation) | Observations |
conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: Diagnostic conclusion (required) | |
Documentation for this format |
Path | Conformance | ValueSet / Code |
DiagnosticReport.status | required | Pattern: final |
DiagnosticReport.code | required | DiagnosticCodeVS |
DiagnosticReport.conclusionCode | required | DiagnosticConclusionVS |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
DiagnosticReport | 0..* | EhgDiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 1..1 | Identifier | Business identifier for report | ||||
basedOn | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
status | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: Diagnostic status for workflow (required) Required Pattern: final | ||||
category | Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
code | Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: Diagnostic code for workflow (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
subject | SΣ | 0..1 | Reference(Patient - Egde Health Gateway - profile for Norwegian patients) | The subject of the report - usually, but not always, the patient | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
effective[x] | Σ | 0..1 | Clinically relevant time/time-period for report | |||||
effectiveDateTime | dateTime | |||||||
effectivePeriod | Period | |||||||
issued | Σ | 0..1 | instant | DateTime this version was made | ||||
performer | SΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service | ||||
resultsInterpreter | SΣ | 0..* | Reference(Practitioner - Egde Health Gateway - profile for Norwegian practitioners) | Primary result interpreter | ||||
specimen | S | 0..* | Reference(Specimen) | Specimens this report is based on | ||||
result | S | 0..* | Reference(Observation) | Observations | ||||
imagingStudy | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
media | Σ | 0..* | BackboneElement | Key images associated with this report | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
comment | 0..1 | string | Comment about the image (e.g. explanation) | |||||
link | Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
conclusion | 0..1 | string | Clinical conclusion (interpretation) of test results | |||||
conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: Diagnostic conclusion (required) | |||||
presentedForm | 0..* | Attachment | Entire report as issued | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | ||||
DiagnosticReport.language | preferred | CommonLanguages
| ||||
DiagnosticReport.status | required | Pattern: final | ||||
DiagnosticReport.category | example | DiagnosticServiceSectionCodes | ||||
DiagnosticReport.code | required | DiagnosticCodeVS | ||||
DiagnosticReport.conclusionCode | required | DiagnosticConclusionVS |
Id | Grade | Path(s) | Details | Requirements |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from EhgDiagnosticReport
Differential View
This structure is derived from EhgDiagnosticReport
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
DiagnosticReport | 0..* | EhgDiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
status | 1..1 | code | registered | partial | preliminary | final + Binding: Diagnostic status for workflow (required) | |
code | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: Diagnostic code for workflow (required) | |
subject | 0..1 | Reference(Patient - Egde Health Gateway - profile for Norwegian patients) | The subject of the report - usually, but not always, the patient | |
resultsInterpreter | 0..* | Reference(Practitioner - Egde Health Gateway - profile for Norwegian practitioners) | Primary result interpreter | |
conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: Diagnostic conclusion (required) | |
Documentation for this format |
Path | Conformance | ValueSet |
DiagnosticReport.status | required | DiagnosticStatusVS |
DiagnosticReport.code | required | DiagnosticCodeVS |
DiagnosticReport.conclusionCode | required | DiagnosticConclusionVS |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
DiagnosticReport | 0..* | EhgDiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 1..1 | Identifier | Business identifier for report |
status | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: Diagnostic status for workflow (required) Required Pattern: final |
code | Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: Diagnostic code for workflow (required) |
subject | SΣ | 0..1 | Reference(Patient - Egde Health Gateway - profile for Norwegian patients) | The subject of the report - usually, but not always, the patient |
performer | SΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service |
resultsInterpreter | SΣ | 0..* | Reference(Practitioner - Egde Health Gateway - profile for Norwegian practitioners) | Primary result interpreter |
specimen | S | 0..* | Reference(Specimen) | Specimens this report is based on |
result | S | 0..* | Reference(Observation) | Observations |
conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: Diagnostic conclusion (required) | |
Documentation for this format |
Path | Conformance | ValueSet / Code |
DiagnosticReport.status | required | Pattern: final |
DiagnosticReport.code | required | DiagnosticCodeVS |
DiagnosticReport.conclusionCode | required | DiagnosticConclusionVS |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
DiagnosticReport | 0..* | EhgDiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 1..1 | Identifier | Business identifier for report | ||||
basedOn | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
status | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: Diagnostic status for workflow (required) Required Pattern: final | ||||
category | Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
code | Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: Diagnostic code for workflow (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
subject | SΣ | 0..1 | Reference(Patient - Egde Health Gateway - profile for Norwegian patients) | The subject of the report - usually, but not always, the patient | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
effective[x] | Σ | 0..1 | Clinically relevant time/time-period for report | |||||
effectiveDateTime | dateTime | |||||||
effectivePeriod | Period | |||||||
issued | Σ | 0..1 | instant | DateTime this version was made | ||||
performer | SΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service | ||||
resultsInterpreter | SΣ | 0..* | Reference(Practitioner - Egde Health Gateway - profile for Norwegian practitioners) | Primary result interpreter | ||||
specimen | S | 0..* | Reference(Specimen) | Specimens this report is based on | ||||
result | S | 0..* | Reference(Observation) | Observations | ||||
imagingStudy | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
media | Σ | 0..* | BackboneElement | Key images associated with this report | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
comment | 0..1 | string | Comment about the image (e.g. explanation) | |||||
link | Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
conclusion | 0..1 | string | Clinical conclusion (interpretation) of test results | |||||
conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: Diagnostic conclusion (required) | |||||
presentedForm | 0..* | Attachment | Entire report as issued | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | ||||
DiagnosticReport.language | preferred | CommonLanguages
| ||||
DiagnosticReport.status | required | Pattern: final | ||||
DiagnosticReport.category | example | DiagnosticServiceSectionCodes | ||||
DiagnosticReport.code | required | DiagnosticCodeVS | ||||
DiagnosticReport.conclusionCode | required | DiagnosticConclusionVS |
Id | Grade | Path(s) | Details | Requirements |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from EhgDiagnosticReport
Other representations of profile: CSV, Excel, Schematron